Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $1,925.55 / $3,834.19	Facility		$1,760.00	$1,925.55	$3,834.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $2,085.94 / $4,189.12	Professional		$1,760.00	$2,085.94	$4,189.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,039.15 / $3,039.15 / $3,039.15	Professional		$3,039.15	$3,039.15	$3,039.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,171.77 / $3,656.38 / $11,296.66	Facility		$2,171.77	$3,656.38	$11,296.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,049.81 / $2,726.25 / $3,997.15	Professional		$2,049.81	$2,726.25	$3,997.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,269.94 / $2,269.94 / $2,269.94	Facility		$2,269.94	$2,269.94	$2,269.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,216.86 / $2,827.26 / $4,360.53	Professional		$2,216.86	$2,827.26	$4,360.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,017.14	Facility		$55.00	$55.00	$17,017.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,653.20 / $18,209.52 / $22,024.43	Professional		$17,653.20	$18,209.52	$22,024.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $2,577.65 / $4,835.47	Facility		$1,900.00	$2,577.65	$4,835.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,714.13 / $3,775.11 / $4,441.30	Professional		$2,714.13	$3,775.11	$4,441.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,416.70 / $3,416.70 / $3,416.70	Professional		$3,416.70	$3,416.70	$3,416.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $2,590.76 / $4,958.97	Facility		$1,900.00	$2,590.76	$4,958.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,246.33 / $2,968.62 / $4,574.54	Professional		$2,246.33	$2,968.62	$4,574.54
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.33 / $2,404.28 / $3,827.39	Professional		$1,752.33	$2,404.28	$3,827.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,105.84 / $2,396.37 / $3,294.41	Professional		$2,105.84	$2,396.37	$3,294.41